International Student Application Form

Enter the details for the student who will be studying with us

(Name must be as it appears on your passport)

Family name

First name

Preferred name

Date of birth

Email

Address: (In home country)

First language

Country of citizenship

Passport number

Expiry date

Intended start date

Intended end date

Applying for year level

7

8

9

10

11

12

13

Parent One or Legal Guardian

NOTE: It is requirement of New Zealand regulations that schools must maintain effective communication with parents and legal guardians. To comply with the requirements, contact information provided in this section MUST be the contact information for the parents or legal guardian.

(Name must be as it appears on your passport)

Family name

Date of birth

First name(s)

Occupation

Relationship to student

Street address

Postal address

Home phone

Mobile

Email

First language

Country of citizenship

Passport number

Expiry date

It is requirement of New Zealand regulations that schools must maintain effective communication with parents and legal guardians. To comply with the requirements, contact information provided in this section MUST be the contact information for the parents

Parent Two or Legal Guardian

(Name must be as it appears on your passport)

Occupation

Family name

Date of birth

First name(s)

Relationship to student

Postal address

Home phone

Mobile

Email

First language

Country of citizenship

Passport Number

Expiry date

Emergency Contact

(In home country, other than parents)

Contact's name

Relationship to the student

Mobile phone

Home phone

Email address

If using an Education Agent, please complete this section

Agency name

Agent name

Agent email address

Phone

Medical Information

Learning Information

Current school

Grade/year level

How many years of schooling (not including pre-school education) has the student had?

Please provide a copy of the lastest two school reports for the student with this application

Does the student have any learning or behavioural difficulties which may require extra school support or services?

Yes

No

If ‘Yes’, please provide details including any psychologist assessments and reports that are available

General Details

Accommodation Requirements

Designated Caregiver Details

(If staying with a relative or close family friend)

Name of caregiver

Address (in NZ)

Home phone

Mobile

Email

Relationship to student

Insurance Details

Do you wish to purchase insurance through the school?

Yes

No

If you are providing your own insurance, please provide an English copy of the policy details to the school once purchased.

If you wish to purchase your insurance through the school, please ensure the medical information section on this form is completed fully and accurately to ensure appropriate coverage for the student for any pre-existing conditions they may have.

Subject Choices

Please note: Subject choices in this application are an indication only and actual subjects will depend upon availability and prior learning. The school reserves the right to decide subject placement and year level throughout enrolment in consultation with students and families.

Subject Name

Year Level

Add +

Checklist

Checklist of documents and Information you must include with your application

Photograph of the student

A copy of the student’s last two school reports

A hand-written letter from the student introducing themselves, and explaining their reasons for wanting to study at the school

A copy of the student’s passport including passport number and expiry date

A copy of the student’s insurance policy details, if booking their own, with English translation (this may be submitted after enrolment is confirmed but must be prior to departure from the home country

Upload a passport size photograph

Declaration

Parent/Guardian 1

Name

Date

By tick this box you confirm that all information provided on this application form is true and complete.

Parent/Guardian 2

Name

Date

By tick this box you confirm that all information provided on this application form is true and complete.

Student

Name

Date

By tick this box you confirm that all information provided on this application form is true and complete.

Enter the details for the student who will be studying with us

Parent One or Legal Guardian

Parent Two or Legal Guardian

Emergency Contact

Medical Information

Learning Information

General Details

For how many years has the student studied English?

Do the student’s parents speak or read English?

Accommodation Requirements

Designated Caregiver Details

Insurance Details

Subject Choices

Checklist

Declaration